Individual provider Active NPI

Anika Batta, DMD

  • Dentist
  • Smyrna, GA
National Provider Identifier
1467185231
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123223 Issued in GA
Practice address
2995 Atlanta Rd SE Ste 200
Smyrna, GA 30080-3650
Phone
(678) 203-3463
NPI assigned
Jul 7, 2022
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123223 GA Primary

Addresses

Primary practice location

2995 Atlanta Rd SE Ste 200
Smyrna, GA 30080-3650

Mailing address

9336 Southern Breeze Dr
Orlando, FL 32836-5056
Phone (407) 421-4277

Other practice location 1

2239 Highway 20 SE Ste H
Conyers, GA 30013-2087
Phone (770) 921-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122000223 GA Order and Referring Only - DentistPractitioner - Dentist 6901258425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conyers Smiles Dentistry, PC PastSince Aug 1, 2023 Accepting new patients
Johnson Ferry Dentistry, PC Dentist Past Accepting new patients
Smyrna Dentist Office, PC PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1467185231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 SOUTHERN BREEZE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365056",
            "telephone_number": "407-421-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 ATLANTA RD SE STE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803650",
            "telephone_number": "678-203-3463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2239 Highway 20 SE Ste H",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300132087",
            "country_code": "US",
            "telephone_number": "770-921-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTA",
        "first_name": "ANIKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.